Individual
CHARLES DAVIS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-0211
Mailing address
1825 HONEYSUCKLE WAY, GROVETOWN, GA 30813-3171
(706) 589-1355
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
RN250185
GA
363LF0000X
Family Nurse Practitioner
Primary
RN250185
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W274616956
AETNA
—
Enumeration date
11/01/2022
Last updated
07/05/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us